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Individual

DR. CHRISTINE ANNE WOHLFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
1320 COLUMBIA CTR, COLUMBIA, IL 62236-2561
(618) 719-2400
(618) 791-2408
Mailing address
1320 COLUMBIA CTR, COLUMBIA, IL 62236-2561
(618) 719-2400
(618) 791-2408

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019028314
IL
122300000X
Dentist
30.022815
OH
1223P0221X
Pediatric Dentistry
Primary
021002438
IL
1223P0221X
Pediatric Dentistry
2015009835
MO

Other

Enumeration date
06/24/2008
Last updated
06/21/2019
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